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首页> 外文期刊>American Journal of Obstetrics and Gynecology >Society for Maternal-Fetal Medicine (SMFM) Special Report: the maternal-fetal medicine subspecialists' role within a health care system
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Society for Maternal-Fetal Medicine (SMFM) Special Report: the maternal-fetal medicine subspecialists' role within a health care system

机译：母胎医学学会（SMFM）特别报告：母胎医学专科医生在卫生保健系统中的作用

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摘要

A maternal-fetal medicine (MFM) subspecialist has advanced knowledge of the medical, surgical, obstetrical, fetal, and genetic complications of pregnancy and their effects on both the mother and fetus. MFM subspecialists are complementary to obstetric care providers in providing consultations, co-management, or transfer of care for complicated patients before, during, and after pregnancy. The MFM subspecialist provides peer and patient education and performs research concerning the most recent approaches and treatments for obstetrical problems, thus promoting risk-appropriate care for these complicated pregnancies. The relationship between the obstetric care provider and the MFM subspecialist depends on the acuity of the maternal and/or fetal condition and the local resources. To achieve the goal of promoting early access and sustained adequate prenatal care for all pregnant women, we encourage collaboration with obstetricians, family physicians, certified midwives, and others, and we also encourage providing preconception, prenatal, and postpartum care counseling and coordination. Effective communication between all obstetric care team members is imperative. This special report was written with the intent that it would be broad in scope and appeal to a diverse readership, including administrators, allowing it to be applied to various systems of care both horizontally and vertically. We understand that these relationships are often complex and there are more models of care than could be addressed in this document. However, we aimed to promote the development of a highly effective team approach to the care of the high-risk pregnancy that will be useful in the most common models for obstetric care in the United States. The MFM subspecialist functions most effectively within a fully integrated and collaborative health care environment. This document defines the various roles that the MFM subspecialist can fulfill within different heath care systems through consultation, co-management, and transfer of care, as well as education, research, and leadership.
机译：母胎医学（MFM）的专科医生对妊娠的医学，外科，产科，胎儿和遗传并发症及其对母亲和胎儿的影响有深入的了解。 MFM的专科医生是产科护理人员的补充，可在怀孕之前，期间和之后为复杂的患者提供咨询，共同管理或转移护理。 MFM的专科医师提供同龄人和患者的教育，并对有关产科问题的最新方法和治疗方法进行研究，从而促进了对这些复杂妊娠的适当风险护理。产科护理提供者与MFM专科医生之间的关系取决于孕产妇和/或胎儿状况的敏锐度以及当地的资源。为了实现促进所有孕妇尽早获得和持续的产前护理的目标，我们鼓励与妇产科医生，家庭医生，有资格的助产士等合作，并鼓励提供孕前，产前和产后护理的咨询和协调。必须在所有产科护理团队成员之间进行有效的沟通。编写此特别报告的目的是范围广泛，并吸引包括行政管理人员在内的各种读者，使其可以水平和垂直应用于各种护理系统。我们了解到，这些关系通常很复杂，而且护理模型比本文档中所涉及的要多。但是，我们的目标是促进开发一种高效的团队方法来治疗高危妊娠，这将在美国最常见的产科护理模式中使用。 MFM的专科医生在完全集成和协作的医疗环境中最有效地发挥作用。本文档定义了MFM专科医师通过咨询，共同管理和护理转移以及教育，研究和领导，可以在不同的健康护理系统中扮演的各种角色。

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